SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC (NPI# 1013406172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013406172 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC |
| Practice Address |
3891 I-55 South Frontage Rd Jackson MS 39212 |
| Mailing Address |
Po Box 6590 Jackson MS 39282-6590 |
| Practice Telephone | 7692358224 |
| Practice Fax Number | 7692511017 |
| Mailing Telephone | 7692358224 |
| Mailing Fax Number | 7692511017 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Authorized Official Name | MRS. SHELETTA BUCKLEY (DIRECTOR) |
| Authorized Official Telephone | 7692358224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
3891 I-55 SOUTH FRONTAGE RD |
| City | JACKSON |
| State | MS |
| Zip Code | 39212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508305780 | Caring Companions LLC | Home Health | 1024 Cooper Rd, Jackson, MS 39212 | 2017-02-21 |
| 1750634044 | Christians In Action, Inc. | Community/Behavioral Health | 2025 North Siwell Rd, Jackson, MS 39212 | 2012-10-24 |
| 1609164748 | Counseling and Mentoring Program | Community/Behavioral Health | 2964 Terry Road B-1, Jackson, MS 39212 | 2011-07-11 |
| 1407179039 | Caring Hands Community Services Inc | Skilled Nursing Facility | 3318 Longwood Drive, Jackson, MS 39212 | 2010-03-10 |
| 1992239404 | Shaemik Harris | Registered Nurse | 3520 Sykes Park Dr, Jackson, MS 39212 | 2017-04-12 |
| 1780044438 | Alfonzo Haralson | Counselor | 132 Thousand Oaks Cir, Jackson, MS 39212-2046 | 2016-02-24 |
| 1659384063 | Kentrell Marie Liddell | Family Medicine | 2104 Thousand Oaks Dr, Jackson, MS 39212-2048 | 2006-08-15 |
| 1649819590 | George Cavett Jr. | Nurse Practitioner | 2450 Twisted Oak Dr, Jackson, MS 39212-2137 | 2019-12-24 |
| 1912455361 | Victorious Healthcare L.L.C. | Assisted Living Facility | 4959 Laurel Oak Dr, Jackson, MS 39212-2150 | 2016-09-14 |
| 1235523549 | Chanda M Rhodes | Counselor | 125 Cedarwood Dr, Jackson, MS 39212-2208 | 2015-03-25 |
| Find all providers in zip 39212 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581511 | Tracey Bryant | Non-emergency Medical Transport (VAN) | 1160 Rosewood St, Jackson, MS 39212-3966 | 2020-06-04 |
| 1831723154 | Love Thy Neighbor Non Emergency Transportation Service | Non-emergency Medical Transport (VAN) | 5970 Ferncreek Dr, Jackson, MS 39211-2723 | 2020-02-25 |
| 1154968048 | Anwar Abdalnour | Non-emergency Medical Transport (VAN) | 23 Carriage House Dr, Jackson, TN 38305-3934 | 2019-12-10 |
| 1679119564 | Medigo LLC | Non-emergency Medical Transport (VAN) | 782 N West St, Jackson, MS 39202-3017 | 2019-11-26 |
| 1194369264 | Simeon Sobenna Ekugwum | Non-emergency Medical Transport (VAN) | 18 Rob Ln, Jackson, MS 39212-5927 | 2019-11-01 |
| 1437717006 | Door 2 Door | Non-emergency Medical Transport (VAN) | 5110 Curtis St, Jackson, MS 39209-3201 | 2019-05-30 |
| 1053974816 | Tyrie Dunn | Non-emergency Medical Transport (VAN) | 2614 Highway 952, Jackson, LA 70748-3326 | 2019-04-17 |
| 1881157626 | Aa Medical Transit LLC | Non-emergency Medical Transport (VAN) | 811 E River Pl Ste 201, Jackson, MS 39202-3454 | 2019-04-09 |
| 1982166906 | Jnz Transport LLC | Non-emergency Medical Transport (VAN) | 950 W Monroe St Ste G300a, Jackson, MI 49202-2079 | 2019-04-01 |
| 1568931038 | William P Evans | Non-emergency Medical Transport (VAN) | 3979 Skyline Dr, Jackson, MS 39213-6055 | 2018-11-14 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.